Individual
GREGG S DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7763 NORTHSIDE DR, N CHARLESTON, SC 29420-8944
(843) 818-1438
Mailing address
7763 NORTHSIDE DR, N CHARLESTON, SC 29420-8944
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
223886
SC
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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